Individual
ANDREW EDWARD KREUTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
4413 THICKET DR, OAKVILLE, MO 63129-3730
(618) 719-1293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025046992
MO
363L00000X
Nurse Practitioner
Primary
2015022724
MO
Other
Enumeration date
11/18/2025
Last updated
02/20/2026
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